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1053970228 NPI number — JONATHON DAVID WHITEHEAD MD

NPI Number: 1053970228
Health Care Provider/Practitioner: JONATHON DAVID WHITEHEAD MD

Information about “1053970228” NPI (JONATHON DAVID WHITEHEAD MD) exists in 1053970228 in HTML format HTML  |  1053970228 in plain Text format TXT  |  1053970228 in PDF (Portable Document Format) PDF  |  1053970228 in an XML format XML  formats.

NPI Number : 1053970228 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053970228",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITEHEAD",
    "FirstName": "JONATHON",
    "MiddleName": "DAVID",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 117709",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30368-7709",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-985-4111",
    "MailingAddressFaxNumber": "205-985-4326",
    "FirstLinePracticeLocationAddress": "4517 SOUTHLAKE PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOOVER",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35244-3280",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-985-4111",
    "PracticeLocationAddressFaxNumber": "205-985-4326",
    "EnumerationDate": "06/11/2019",
    "LastUpdateDate": "07/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "MD.48532",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "11070",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207XS0106X",
          "TaxonomyName": "Orthopaedic Hand Surgery Physician",
          "LicenseNumber": "MD.48532",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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